1

00:00:14,170 --> 00:00:18,840

Hi there my name one of the finally our medical students could I just check your name and date
of birth
2
00:00:18,840 --> 00:00:24,479
Please sure it's James Alexander 33 December 1989 nice to meet you James today
3
00:00:24,480 --> 00:00:27,750
I've been asked to examine your chest this limbo of looking from the end of the bed
4
00:00:27,970 --> 00:00:33,659
Feeling different parts of the chest and then listening with the stethoscope at the end would that
be okay, that sounds fine brilliant
5
00:00:33,750 --> 00:00:38,279
Have you any pain anywhere at all have you any questions about the exam? No okay?
6
00:00:39,010 --> 00:00:43,109
Okay, James. We can start the exam now, and I'm just going to start by having a look from the
end of the bed
7
00:00:50,530 --> 00:00:54,300
James I'd like to start by looking at your hands if you could just bring them up in front of you,
please
8
00:01:02,060 --> 00:01:04,060
Them over
9
00:01:10,010 --> 00:01:12,050
Fingernails together like this for me
10
00:01:17,500 --> 00:01:22,930
And again if you could just bring your arms out in front of you, I'm just going to assess the
temperature of your arms
11
00:01:30,970 --> 00:01:35,020
Could bring your arms out in front of you like this and keep them there
12
00:01:40,259 --> 00:01:42,449
And cocky wrists back James and keep him there
13
00:01:49,380 --> 00:01:52,800
And relax, and I like to feel the pulse in your wrist
14
00:02:02,680 --> 00:02:04,680
Could you just turn your head to the left for me
15
00:02:11,660 --> 00:02:17,580
And bring your head back gentle now gonna. Have a look at your face nice. Okay. You could
just look straight ahead for me
16
00:02:23,170 --> 00:02:25,170
And I'm now gonna pull down on your lower eyelid
17
00:02:28,910 --> 00:02:30,910
If you could just open your mouth for me
18
00:02:32,060 --> 00:02:34,060
I'll lift your tongue to the roof of the mouth
19
00:02:35,450 --> 00:02:37,430
That's great
20
00:02:37,430 --> 00:02:39,760
I'd now like to more closely inspect the chest
21
00:02:52,480 --> 00:02:54,480
You could just lift your right arm up for me
22
00:02:58,140 --> 00:03:00,140
And your left arm
23
00:03:02,040 --> 00:03:05,659
I'm now just going to feel the position of your windpipe. Let me know if it's too uncomfortable
24
00:03:13,750 --> 00:03:15,750
You
25
00:03:28,550 --> 00:03:30,790
I'm now going to assess the expansion of the chest
26
00:03:31,440 --> 00:03:36,630
We'll just involve me place my hands around the chest quite tightly then asking you to take a
deep breath in
27
00:03:41,410 --> 00:03:49,089
Deep breath and out and in and out I
28
00:03:51,950 --> 00:03:53,950
Would now like to tap on the chest
29
00:04:22,569 --> 00:04:26,519
Gems are not gonna listen to the chest if you could just take some deep breaths in and out
through your mouth
30
00:05:03,669 --> 00:05:08,068
This time James every time I place my stethoscope on the chest could you say ninety nine for
me?
31
00:05:10,750 --> 00:05:13,469
99 99
32
00:05:16,270 --> 00:05:18,270
99 99
33
00:05:20,529 --> 00:05:22,529
99 99
34
00:05:22,870 --> 00:05:24,819
99
35
00:05:24,819 --> 00:05:26,999
99 99
36
00:05:28,839 --> 00:05:30,839
99
37
00:05:33,219 --> 00:05:37,769
James if you could now sit forward for me, I'd like to examine for any glands in the neck
38
00:06:04,229 --> 00:06:06,288
I'm just going to more closely look at you back now
39
00:06:10,460 --> 00:06:13,540
Like before James I'd like to examine for chest expansion now
40
00:06:13,610 --> 00:06:18,580
So this will just involve me putting my hands tightly around the chest again and asking you to
take a deep breath in
41
00:06:22,699 --> 00:06:29,519
Deep breath and out and in and out
42
00:06:32,470 --> 00:06:35,850
James I'm now gonna tap on your back if you could just fold your arms for me
43
00:06:55,250 --> 00:06:58,239
Gems are now gonna listen to your back if you could just keep your arms folded
44
00:06:58,460 --> 00:07:00,460
And breathe in and out through your mouth for me
45
00:07:36,910 --> 00:07:39,149
And now if you could say 99 for me
46
00:07:42,750 --> 00:07:45,439
99 99 99
47
00:07:48,630 --> 00:07:56,070
99 99 99 99 99
48
00:07:59,530 --> 00:08:01,530
99 99
49
00:08:04,750 --> 00:08:06,750
And I'm now just gonna press on your lower back
50
00:08:15,680 --> 00:08:17,680
You
51
00:08:23,640 --> 00:08:25,640
Let me know if you have any pain in your calves
52
00:08:32,409 --> 00:08:36,479
James that completes the examination, thank you very much, you can now get dressed
53
00:08:39,850 --> 00:08:44,779
In summary I spiritually exam on James a 27 year old male
54
00:08:45,540 --> 00:08:51,380
James had no peripheral stigmata of respiratory disease his pulse was regular, and he had a
normal respiratory rate
55
00:08:52,290 --> 00:08:56,329
James had a normal and symmetrical percussion note on the front and back of the chest
56
00:08:56,970 --> 00:09:01,010
on auscultation James had normal vesicular breathing with no added sounds
57
00:09:01,050 --> 00:09:05,300
This was a normal respiratory exam to complete the respiratory exam
58
00:09:05,850 --> 00:09:08,420
I'd like to measure James's oxygen saturations
59
00:09:09,000 --> 00:09:11,000
And also send off a sputum sample
60
00:09:18,690 --> 00:00:00,000
You